PacificSource Health Plans · 6 days ago
Configuration Analyst I - Provider
PacificSource Health Plans is committed to helping members access quality, affordable care. The Configuration Analyst I - Provider will participate in the identification and implementation of solutions for efficient configuration and maintenance of Facets, ensuring compliance with laws and regulations.
CommunitiesCustomer ServiceNon Profit
Responsibilities
Assist with design of new configuration to support business needs and functionality
Accurately update, implement and test configuration changes as assigned by trainer
Assist with analyzing business requirements, test plans, training materials and procedure documents
Assist with executing test plans and test case scenarios to ensure requirements are being met
Participate in development of detail design and system walk through with respective teams to verify design and solution meet business and system requirements
Assist and work with business areas for the review of all reported system defects
Monitor, research, and resolve provider or pricing related ServiceNow tickets designated for a Configuration Analyst I. These include adding new provider types, specialties, IPA’s, terminating agreement ID’s, running basic queries and others as assigned by trainer
Assist with diagnosing and resolving system configuration problems. Begin to understand troubleshooting techniques and methods at a fundamental level
Responsible for quality assurance tasks. Double check your work to ensure accuracy
Develop an understanding of Facets Batch Logs, with the ability to troubleshoot issues as needed
Process, troubleshoot and resolve claims in the FBS Provider claims queue in a timely manner to satisfy turnaround time requirements
Configure the standard provider agreements in NetworX. Assist in loading fee schedules as needed
Maintain Modeler database as needed
Support in special projects as assigned
Interact with business leaders and users, including external partners and customers as required. Maintain professional, service oriented relationships
Demonstrate ability to organize and prioritize work
Meet department and company performance and attendance expectations
Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information
Perform other duties as assigned
Qualification
Required
Minimum two years of relevant experience in health plan environments with at least one year experience with benefit plan administration required
Associates Degree or equivalent combination of work experience and education required
Extensive knowledge of industry standards and internal PacificSource, PacificSource Medicare, policy and processes
Proficiency in Microsoft systems Outlook, Excel and Word
Strong analytical and problem solving skills
Excellent interpersonal skills including verbal and written communication
Ability to work collaboratively as a team with little supervision
Preferred
Experience working with Facets is preferred
BA/BS degree or ICD-10, CPT, HCPC coding knowledge preferred
Experience in database systems of Access and/or SQL also preferred
Company
PacificSource Health Plans
Founded in 1933, PacificSource is a not-for-profit health insurer for people and organizations throughout the Northwest.
H1B Sponsorship
PacificSource Health Plans has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (6)
2024 (4)
2023 (2)
2022 (4)
2021 (5)
Funding
Current Stage
Late StageRecent News
2025-11-29
2025-10-22
Company data provided by crunchbase